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Vendor Registration

If you are a home health agency, please use the Register for Login Credentials under the For HHAs menu.

Welcome to the Home Health Care CAHPS (HHCAHPS®) Survey vendor registration process. Each survey vendor interested in submitting an application to become an approved HHCAHPS Survey vendor must designate a staff member to be its HHCAHPS Survey Administrator and have that person register by completing the information below. Once you submit this form, you will be directed to your dashboard.

Organization Name
First Name
Last Name
Email
Confirm Email

Organizations applying to become an HHCAHPS Survey vendor are required to create an account to access specific links and online forms on the HHCAHPS website. Please create and enter below a username and password that you would like to use to be able to access specific links and forms on this website.

Requested Username
Password Minimum 8 characters.
Confirm Password